Does my partner's smoking and drinking cause problems during prenatal check-ups?

Patient's question:

My partner smokes and drinks beer, but he drinks beer instead. He drinks one or two bottles of beer with each meal and smokes a few cigarettes a day. We didn't plan to get pregnant, but we ended up having a baby. I'm worried that the child's physical and intellectual development might be affected. I told him we could do the Down syndrome test, but last night he said the child's intelligence can't be tested and suggested I have an abortion. Now that the child is two months old, I don't want to abort and I feel like crying all the time. He's threatening to end the marriage. Is it true that a thorough check-up is only needed for a small part of the Down syndrome test? If the test comes back negative, will there be no problem with the child's intelligence? Could you please give me some advice?

Doctor's answer:

According to your information, smoking and drinking beer are high-risk factors for preconception. This is a matter of probability, not that there is definitely a problem. It is recommended that you have regular prenatal check-ups. The normal result of the Down syndrome screening only proves that the probability of having a 21-trisomy is low. Later, you can have a 4D ultrasound. You should not give up on having a child just because of this risk. Have a good discussion with your husband, or take him to the prenatal center for consultation, and let the doctor explain it to him.

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